Adult I DD Waiver Redesign Improving Home and Community-Based - - PowerPoint PPT Presentation

Adult I DD Waiver Redesign

Improving Home and Community-Based Services for Adults with Intellectual & Developmental Disabilities

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November 28, 2018 Facilitated by S haron S teadman

Welcome

Introductions Housekeeping Items:

• Please feel free to step out if you need to.

Bat hroom is down t he hallway t o t he right .

• Please keep cell phones on silent or vibrate.
• Please sign in and add your contact

information to the sign in sheet.

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Our Mission

I mproving health care access and

• utcomes for the people we serve

while demonstrating sound stewardship of financial resources.

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ACCE CCESS REC ECEI EI VE COOR OORDI NATE

Streamline Access to Services Improve Service Coordination Increase Service Options and Quality

Office of Community Living Vision

Meeting Facilitator: Sharon Steadman

SharonIDDWaiver@steadmangroup.com

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Steadman Group I ntroduction

• Treat each other with respect and honor one another as

whole individuals.

• Value diversity in experiences and perspectives.
• Robust examination and discourse improves our work
• Engage with each other as partners.
• Direct communication
• Solution-oriented collaboration
• Respect accommodations needed by others to participate.

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Working Agreements

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1:30 pm

Overview of Today’s Meeting

1:45 pm

Review October 15, 2018 Meeting Summary

2:00 pm

Behavior Services Draft Review

2:30 pm

Intensive Supports Draft Review

3:15 pm

• - - Break - - -

3:20 pm

Discuss Final Report

3:30 pm

Actuarial Work Discussion

4:15 pm

Wrap-Up and Adjourn

Agenda

• October 15, 2018 Meeting Summary
• Behavioral Services – Service Coverage Standard

Risk Assessment Section (Pages: 8 - 13)

• I ntensive Supports – Service Coverage Standards

Service Specification Section (Pages: 12 - 16)

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Materials

October 15, 2018 Waiver I mplementation Council Meeting Summary

Directions to Access Previous Meeting Materials on our website:

Step 1: Navigate to the HCPF homepage at https://www.colorado.gov/hcpf Step 2: Click For Our Stakeholders Step 3: Click Committees, boards & collaboration Step 4: Click Adult I DD Waiver Redesign Stakeholder Group Step 5: Click Learn more about the Adult I DD Waiver Redesign Stakeholder Group Step 6: Click Meeting Materials Step 7: Click October 15, 2018

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Review Meeting Summary

Behavioral Services

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Questions

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 What do you like?  What don’t you like?  What would you like to see changed?

Intensive Supports

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Questions

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 What do you like?  What don’t you like?  What would you like to see changed?

Break

Reconvene in 5 minutes

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Welcome and I ntroductions

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Health Management Associates (HMA)

Health System Restructuring Consultant: Michelle Rogers

Bolton Health

Actuarial Contractors: Luke Rodgers and Michelle Hoffner

Intellectual and Developmental Disabilities Waiver Redesign Project

Colorado HCPF | November 28, 2018 | 16

Stakeholder Meeting – November 28, 2018

Luke Rodgers, ASA, MAA | Michelle Hoffner, Managing Director

Introduction and Outline of Engagement

• The Department engaged Bolton to complete cost impact analyses

associated with combining the HCBS-SLS and DD waivers into a single waiver serving individuals with Intellectual and Developmental Disabilities

• This engagement will build on the work Bolton completed in

2016/ 2017 regarding historic utilization and Support Levels

• While most of our deliverables are mathematical in nature,

consideration of the Department’s goals is necessary for successful completion of this engagement:

• Members getting the right service, right amount, at the right place,

and right time

• Providing Residential Habilitation continuity
• Minimize member disruption
• I mprove where possible (e.g., more flexible, additional services)

Colorado HCPF | November 28, 2018 | 17

Introduction and Outline of Engagement Continued…

• The primary deliverable from Bolton’s contract is a cost model that

will allow the Department to value the budget impact of the combined waiver

• This tool will have flexibility to allow the Department to model the

budget impact of various scenarios and program parameters

• Bolton is also providing research services to the Department with a

focus on:

• HCBS waiver programs in other states (e.g., program parameters

and support levels)

• Data or other information to inform cost model inputs (e.g.,

utilization levels for new services)

Colorado HCPF | November 28, 2018 | 18

• Consideration of concerns and thoughts from the stakeholder

community is the primary reason we are in attendance today

• Recommendations regarding state programs to research?
• What is/ isn’t working with current residential habilitation program?
• Thoughts on criteria to determine 24-hour care under the

consolidated waiver?

• Concerns regarding the waiver consolidation?
• What risks do you see with this work?
• Recommendations to mitigate these risks and still accomplish the mandate?
• Are there any assumptions you think should be made for this work?
• I deas to ensure:
• Individuals get the right service, in the right amount, in the right place?
• In a fiscally sustainable manner?
• What would be a successful outcome?
• Other thoughts or concerns?

Colorado HCPF | November 28, 2018 | 19

Questions for Stakeholders

Small Groups Report Out

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Calendar

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Meeting Topic When

# 1 Process and Next Steps October 15, 2018 # 2 Behavioral Services, and an introduction to Residential Habilitation November 28, 2018

12/ 31/ 18 – Last opportunity for comments via the change log

* Future opportunities for comments will be available during future meetings and the public comment period

January 2019 - February 2019 – task group meets

* Task group focus will be addressing outstanding service coverage standard and common policy questions

# 3 Self-Direction, Nurse Practice Act, & Individualized Budgets January 16, 2019 # 4 Actuarial Work on Regression Analysis, Residential Habilitation Benefits Collaborative Part 1 Late March # 5 Residential Habilitation Benefits Collaborative Part 2 Mid-April # 6 Waiver Redesign Summary Report Late April or Early May # 7 Addendum to Waiver Redesign Summary Report Late May

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Task Group Work

Date: January 2019 - February 2019

The Task Group will meet multiple times within this time frame. Dates to be distributed in the near future.

Focus: Task Group focus will be addressing outstanding service

coverage standard and common policy questions.

I f I nterested:

• Sign up in the front of the room, on the Task Group Sign-Up sheet.
• If you are on Adobe Connect, indicate in the text box.

Please look for future communications from our facilitator.

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For any stakeholder questions around this engagement please contact:

Sharon Steadman SharonI DDWaiver@steadmangroup.com

Contact I nformation

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Wrap Up